South Bay Mental Health Center, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Brockton, Massachusetts
1023096864- Practice location
- 1115 West Chestnut Street, Suite 202, Brockton, MA 02301
- Phone
- 508-521-2200
- Fax
- 508-584-2227
- Last updated
- April 1, 2019
South Bay Mental Health Center, INC. is a healthcare organization based in Brockton, MA. South Bay Mental Health Center, INC. practices in Brockton, MA. The NPI Number for South Bay Mental Health Center, INC. is 1023096864 and holds a License No. 4222 (MA). The current practice location address for South Bay Mental Health Center, INC. is 1115 West Chestnut Street, Suite 202, Brockton, MA 02301 and can be reached out via phone at 508-521-2200 and via fax at 508-584-2227.
Provider Profile Details
- NPI Number
- 1023096864
- Provider Name
- South Bay Mental Health Center, INC.
- Provider Entity Type
- Organization
- Address
- 1115 West Chestnut Street, Suite 202, Brockton, MA 02301
- Phone Number
- 508-521-2200
- Fax Number
- 508-584-2227
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Sara J Hart, LMHC · President/Coo · 508-324-0328
- Other Names
- South Bay Community Services (Doing Business As)
- Provider Enumeration Date
- January 3, 2006
- Last Update Date
- April 1, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1115 West Chestnut Street
Suite 202
Brockton, MA 02301 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301
- Phone Number
- 508-521-2200
- Fax Number
- 508-584-2227
Provider Business Mailing Address Details
- Address
- 1115 West Chestnut Street
Suite 202
Brockton, MA 02301 - City
- Brockton
- State
- MA
- Zip
- 02301
- Phone Number
- 508-521-2200
- Fax Number
- 508-584-2227
License Information
- License Number
- 4222
- License State
- MA
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of South Bay Mental Health Center, INC.?
The NPI number of South Bay Mental Health Center, INC. is 1023096864. It was assigned on January 3, 2006 and is currently active in the NPPES registry.
What is the specialty of South Bay Mental Health Center, INC.?
South Bay Mental Health Center, INC. is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in MA under license number 4222.
Where does South Bay Mental Health Center, INC. practice?
The practice location is 1115 West Chestnut Street, Suite 202, Brockton, MA 02301. The office can be reached at 508-521-2200 (phone) or 508-584-2227 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023096864 directly on the NPPES registry website.